High-demand patients returned to work quickly after arthroscopic treatment of a dislocated elbow
NEW ORLEANS — Investigators found patients returned to work 2.7 weeks after acute arthroscopic repair of the radial ulnohumeral ligament for elbow dislocation.
Michael J. O’Brien, MD, and colleagues retrospectively reviewed the results of surgeries they performed in 14 consecutive high-demand patients. The investigators defined high-demand patients as those who needed both hands to work or play a competitive sport. One patient in the series was a surgeon.
Few guidelines exist about return to work after elbow dislocation, according to O’Brien, who presented the results at the American Academy of Orthopaedics Surgeons Annual Meeting, here.
In this series, “All patients returned to their pre-injury level of function,” he said.
The investigators followed the patients for an average of 30 months after either acute or subacute treatment of the radial ulnohumeral ligament (RUHL).
O’Brien said all patients achieved a Mayo Elbow Performance Score that was excellent and ranged from 95 points to 100 points.
According to the paper abstract, results using a goniometer showed a final range of motion from -3 º in full extension to full flexion that exceeded 130 º.
O’Brien said the return to work was longer — at about 4.6 weeks — in the patients who underwent arthroscopic stabilization subacutely.
O’Brien MJ. Paper #38. Presented at: American Academy of Orthopaedic Surgeons Annual Meeting; March 11-15, 2014; New Orleans.
Disclosure: O’Brien receives research/institutional support from DePuy, a Johnson & Johnson Company, and Mitek; and receives other support from DePuy, Mitek and Smith & Nephew.